Understanding the Nature of a Therapeutic Milieu

Trieschman, Albert E.

doi:10.4324/9781315133706-1

The Other 23 Hours 2017

DOI: 10.4324/9781315133706-1

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Understanding the Nature of a Therapeutic Milieu

Albert E. Trieschman¹

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2021

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“…Many evidence-based models that address trauma also include training social skills such as awareness and expression of thoughts and feelings, emotional and self-regulation, problem-solving and goal setting (Bloom & Sreedhar, 2008; Cohen et al, 2012; Ford & Blaustein, 2013; Habib, Labruna, & Newman, 2013; Lenz & Hollenbaugh, 2015; Rosner, König, Neuner, Schmidt, & Steil, 2014). A significant portion of the therapeutic support youth receive in residential programs occurs with direct care staff (Abramovitz & Bloom, 2003; Brown, McCauley, Navalta, & Saxe, 2013; Habib et al, 2013; Trieschman, Whittaker, & Brentro, 1969), who facilitate natural therapeutic interactions through social skills training (Scott & Lorenc, 2007). Social skills training is a component of trauma-informed residential programs that can be delivered by staff who do not have mental health training to administer more advanced therapy techniques, such as exposure-based strategies (Dawson et al, 2018).…”

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confidence: 99%

Evaluating social skills training for youth with trauma symptoms in residential programs.

Tyler¹,

Aitken²,

Ringle³

et al. 2021

Psychological Trauma: Theory, Research, Practice, and Policy

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Objective: Youth who receive services in residential programs have high rates of traumatic exposure and associated symptoms of Posttraumatic Stress Disorder (PTSD). Little information is available on specific social skills training that could be beneficial for youth in residential programs with PTSD. This study examined changes in behavioral incidents and psychopathology in youth receiving group home services based on training they received across three categories of social skills (i.e., self-advocacy, emotional regulation, problem-solving). Method: The sample included archival data on youth (N ϭ 677) ages 10 -18 years (M ϭ 15.7 years, SD ϭ 1.53). Hierarchical Linear Modeling was used to examine the frequency of disruptive and self-injurious behaviors over 12 months as it relates to reported traumatic symptoms at admission and the presence of the three types of social skills objectives. Analysis of Covariance was conducted to test whether the social skill objectives differentially predicted changes in youth psychopathology from intake to discharge for youth with low and high trauma symptoms. Results: Youth with high trauma symptoms who received training on problem-solving skills had significantly greater decrease in emotional problems from intake to discharge compared to youth with high trauma symptoms who did not receive problem-solving training (d ϭ Ϫ.54). Conclusion: Problem-solving training could be further developed and tested to maximize the support youth with trauma symptoms receive in trauma-informed residential programs. Clinical Impact StatementYouth with high levels of trauma who received social skills training on problem-solving skills from direct care staff in a residential program had significantly greater decreases in emotional problems compared to youth with high levels of trauma who did not receive this training. Further development and testing of social skills training, in areas such as problem-solving, could improve the traumainformed services provided by direct care staff in residential programs.

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mentioning

confidence: 99%

Evaluating social skills training for youth with trauma symptoms in residential programs.

Tyler¹,

Aitken²,

Ringle³

et al. 2021

Psychological Trauma: Theory, Research, Practice, and Policy

View full text Add to dashboard Cite

show abstract

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Understanding the Nature of a Therapeutic Milieu

Cited by 1 publication

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Evaluating social skills training for youth with trauma symptoms in residential programs.

Evaluating social skills training for youth with trauma symptoms in residential programs.

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